License holder summary

HEIDI GAYLE BLACK is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 12/18/1998 and expired on 08/31/2001.

Department of Licensing and Regulatory Affairs

Board of Medicine

HEIDI GAYLE BLACK
Physicians Assistants - Physician Assistant
License number
5601003043
Date granted
12/18/1998
Date expires
08/31/2001
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39305949
LAST UPDATED 2025-01-31 08:44:40 UTC

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